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  •  ...The Manager, Utilization Review is responsible for overseeing the daily operations of the Utilization Review for one of our clients and leading a team of Utilization Review Nurses. This role involves ensuring efficient care coordination, managing healthcare costs, and... 

    Health Business Solutions LLC

    Manila
    15 days ago
  •  ...Job Summary : We are seeking a highly motivated and experienced Utilization Review Nurse to join our team. The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective... 

    Health Business Solutions LLC

    Cebu
    26 days ago
  • 2200 Php

     ...Number of Headcounts: 4 FTEs Available Industry: Healthcare & Legal Outsourcing About the Job: We are looking for a Utilization Review Doctor to join the healthcare operations team and support the evaluation of medical services and patient care documentation.... 

    RecruitNest Consulting

    Taguig
    22 days ago
  •  ...JOB SUMMARY  We are seeking a skilled Utilization Review Coordinator (URC) to oversee patient insurance certification, compliance with governmental regulations related to hospital stays, and the prevention of denials. Embedded within our utilization review management... 

    Health Business Solutions LLC

    Manila
    more than 2 months ago
  •  ...Utilization Review Nurse Location: Philippines About Us: HBiz is a leading Revenue Cycle Management (RCM) company dedicated to helping healthcare providers optimize their financial performance. We specialize in delivering innovative solutions that streamline revenue... 

    Health Business Solutions LLC

    Cebu
    more than 2 months ago
  •  ...thinking organization, apply now. We are currently seeking a Utilization Review Medical Appeals Nurse - USRN to join our team in Manila,...  ...skills · Required shift timings - US daytime · Can work remotely About NTT DATA NTT DATA is a $30 billion business and... 

    NTT DATA Services

    Manila
    3 hours ago
  •  ...Medical Documents Reviewer 9AM-6PM Eastern Time, Sat Sun Off Location: Remote Employment Type: Full-Time Apply here: About the Role We are rapidly expanding our Medical Records Team and are looking for a detail-oriented Documents Reviewer to join... 
    Remote job

    OpsArmy

    Taguig
    21 days ago
  •  ...value in our team members.  What This Role Is About : The Utility Billing Associate is responsible for the end-to-end management...  ...the candidate’s experience, skills, and responsibilities. Remote Work — This role is 100% remote, allowing flexibility and eliminating... 

    Extenteam Client Roles

    Philippines
    6 days ago
  • "Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical...  ...necessary.  1-3 years of experience in processing appeals or utilization management.  RN - Registered Nurse - State required Licensure... 

    NTT DATA Services

    Manila
    3 hours ago
  • 775000 $ per day

     ...operation. Analyze client current processes and suggest improvements. Implement best practices for Asset Management System for Utilities (Generation, Transmission and Distribution): Works Management for Electrical Generation, Transmission & Distribution, Gas Storage,... 

    Accenture

    Taguig
    13 days ago
  •  ...do is bring your human best. What will your story be? Apply now!   Learn more: jti.com Reporting to: Utilities & Energy Manager Duty Post: Malavar, Batangas Application Duration:This job posting will remain open until the vacancy is... 

    JT International S.A.

    Batangas
    5 days ago
  •  ...Operations Cluster team is looking for experienced professionals to join us in Metro Manila with the role of Quality Assurance Reviewer . In this role you will conduct pre‑audit, unannounced assurance, and special reviews of store and cash center operations to... 

    EastWest Bank

    Metro Manila
    17 days ago
  •  ...helping projects run smoothly behind the scenes? We’re looking for Utility Interconnection Support Specialist who thrives in a fast-paced...  ...across multiple teams. Key Responsibilities: Review, prepare, submit, and track Meter Spot Applications and Tesla Backup... 

    ClearSource

    Pasig
    a month ago
  • Be one of the first to apply
    We're Hiring: Virtual Event Admin (Remote | LATAM) Love the excitement of events? Join a fast-growing team where no two days are the same! We're looking for a proactive, detail-oriented Virtual Event Admin who thrives in fast-paced environments and loves creating... 

    your start up operations

    4 hours ago
  •  ...Our pipeline auto-generates annotations at scale; your job is to review the segments flagged as potentially inaccurate , judge them...  ...and a device capable of smooth video playback. Comfort in a remote, target-driven environment with regular calibration checks. Nice... 

    Workstream

    Manila
    14 days ago
  •  ...SGS is the leading Inspection, Testing, Verification and Certification company. Job Description The GBS Technical Reviewer has to check that ISO 9001 and/or ISO 14001 and/or ISO 45001 and/or QHSE second party audit report packs comply with all relevant... 

    SGS

    Muntinlupa
    16 days ago
  •  ...millions alongside develop healthcare knowledge and improve lives. This role is responsible for conducting comprehensive medical review of Individual Case Safety Reports (ICSRs), ensuring the accuracy, integrity, and compliance of global regulatory reports, and for... 

    ICON plc

    Manila
    8 days ago
  •  ...Conditions Office Job Description Join Us as a Clinical Review Specialist – Make an Impact at the Forefront of Innovation...  ...effectively apply knowledge and skills in a highly organized fashion utilizing adherence to regulatory guidelines, SOPs and client... 
    Remote job
    Manila
    14 days ago
  •  ...an employee's career within TaskUs. Join our team today and experience firsthand our dedication to supporting People First. App Review Developer Support About TaskUs: TaskUs is a provider of outsourced digital services and next-generation customer experience to... 
    Angeles City
    27 days ago
  •  ...Here's your chance to grow your career with the largest and leading independent fuel company in the country - join us as our next Utility Personnel - Bauang, La Union!  What is this role about? The Utility Personnel will provide general support to site operations... 

    SEAOIL Philippines, Inc.

    Bauang, La Union
    more than 2 months ago
  •  ...Data & Collaboration Analyze key metrics — booked lessons, utility rates, lesson quality scores, and teacher productivity — to drive...  ...: Five-day workweek with two rest days. Location: Fully remote Minimum 25 Mbps internet speed with backup connection Backup... 

    Edge Tutor

    Remote
    2 days ago
  •  ...build-out work (such as retail coffee shop projects). This fully remote position is ideal for a professional who prefers acting as a "...  ...& Onboarding: Actively engage in self-guided training utilizing in-house materials, complemented by hands-on mentoring from existing... 

    Hyre

    Quezon City
    7 days ago
  •  ...employee experience. Every day we do this with excellence, respect, integrity, and utmost professionalism. Candidate Profile: As Utility Staff, you must share our core values, has initiative, hardworking, physically fit, and detail-oriented. Job Objectives: To... 

    Top Asia

    Manila
    more than 2 months ago
  • 775000 $ per day

     ...Should be able to engage with client leadership, delivery team leads and other stakeholders across different geographies. Strong Utilities consulting experience to drive solution of the project and bring strong customer engagement expertise to the table. Should... 

    Accenture

    Taguig
    more than 2 months ago
  • 775000 $ per day

     ...Grievance & Appeals  •    Creates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation.  •    Creates a detailed case summary in narrative format for each appeal.  •... 

    Accenture

    Taguig
    a month ago
  •  ...tax agents, and regulatory bodies during audits and compliance reviews. Support budgeting, forecasting, and financial planning activities...  ...Can start ASAP Work Setup & Employment Details ~ Fully remote (Philippines-based), with occasional in-person or virtual team... 
    Remote job

    Harwell Home Care Pty Ltd

    Muntinlupa
    5 days ago
  •  ...The Remote Legal Assistant will work closely with the Paralegal and Legal Team to provide essential support in eviction case management...  ...multiple deadlines while ensuring cases progress smoothly from initial review through resolution. This is an excellent opportunity for a... 

    Arboreal Management

    Metro Manila
    1 day ago
  •  ...This is a remote position. What We Do At Outsource Access, we help HR professionals and business leaders overcome their workforce...  ...leverage sales automation tools to build email sequences, and utilize Apollo.io for high-level lead generation. Your Home Office... 

    Outsource Access

    Manila
    3 days ago
  • 45000 - 70000 Php

     ...functional team Working Conditions / Location This role is fully remote. With Eastern Standard Time (EST) 9:00 am - 6:00 pm, Monday -...  ...# Reference checks # Offer Our Process We review all applications carefully and aim to respond to every candidate... 
    Remote job

    Flexihire Talent

    Manila
    21 days ago
  •  ...Job title: Work Order Review Admin Type of employment: Full-Time Shift Schedule: 8:00 AM - 5:00PM PST The Work Order Review Admin serves as the primary quality control gatekeeper for Century Commercial Service. This role ensures that all technician-submitted... 
    Remote job

    Outsource Recruiter

    Metro Manila
    a month ago